Photochemical Internalization: Light Paves Way for New Cancer Chemotherapies and Vaccines

Photochemical internalization (PCI) is a further development of photodynamic therapy (PDT). In this report, we describe PCI as a potential tool for cellular internalization of chemotherapeutic agents or antigens and systematically review the ongoing research. Eighteen published papers described the...

Full description

Bibliographic Details
Main Authors: Lara Šošić, Pål Kristian Selbo, Zuzanna K. Kotkowska, Thomas M. Kündig, Anders Høgset, Pål Johansen
Format: Article
Language:English
Published: MDPI AG 2020-01-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/1/165
_version_ 1797706523146715136
author Lara Šošić
Pål Kristian Selbo
Zuzanna K. Kotkowska
Thomas M. Kündig
Anders Høgset
Pål Johansen
author_facet Lara Šošić
Pål Kristian Selbo
Zuzanna K. Kotkowska
Thomas M. Kündig
Anders Høgset
Pål Johansen
author_sort Lara Šošić
collection DOAJ
description Photochemical internalization (PCI) is a further development of photodynamic therapy (PDT). In this report, we describe PCI as a potential tool for cellular internalization of chemotherapeutic agents or antigens and systematically review the ongoing research. Eighteen published papers described the pre-clinical and clinical developments of PCI-mediated delivery of chemotherapeutic agents or antigens. The studies were screened against pre-defined eligibility criteria. Pre-clinical studies suggest that PCI can be effectively used to deliver chemotherapeutic agents to the cytosol of tumor cells and, thereby, improve treatment efficacy. One Phase-I clinical trial has been conducted, and it demonstrated that PCI-mediated bleomycin treatment was safe and identified tolerable doses of the photosensitizer disulfonated tetraphenyl chlorin (TPCS<sub>2a</sub>). Likewise, PCI was pre-clinically shown to mediate major histocompatibility complex (MHC) class I antigen presentation and generation of tumor-specific cytotoxic CD8+ T-lymphocytes (CTL) and cancer remission. A first clinical Phase I trial with the photosensitizer TPCS<sub>2a</sub> combined with human papilloma virus antigen (HPV) was recently completed and results are expected in 2020. Hence, photosensitizers and light can be used to mediate cytosolic delivery of endocytosed chemotherapeutics or antigens. While the therapeutic potential in cancer has been clearly demonstrated pre-clinically, further clinical trials are needed to reveal the true translational potential of PCI in humans.
first_indexed 2024-03-12T05:53:33Z
format Article
id doaj.art-7bfdf62f40cd47198f3369e1884942a8
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-12T05:53:33Z
publishDate 2020-01-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-7bfdf62f40cd47198f3369e1884942a82023-09-03T04:54:02ZengMDPI AGCancers2072-66942020-01-0112116510.3390/cancers12010165cancers12010165Photochemical Internalization: Light Paves Way for New Cancer Chemotherapies and VaccinesLara Šošić0Pål Kristian Selbo1Zuzanna K. Kotkowska2Thomas M. Kündig3Anders Høgset4Pål Johansen5Department of Dermatology, University Hospital Zurich &amp; University of Zurich, Gloriastrasse 31, 8091 Zurich, SwitzerlandDepartment of Radiation Biology, Institute for Cancer Research, Norwegian Radium Hospital, Oslo University Hospital, Ullernchausséen 70, 0379 Oslo, NorwayDepartment of Dermatology, University Hospital Zurich &amp; University of Zurich, Gloriastrasse 31, 8091 Zurich, SwitzerlandDepartment of Dermatology, University Hospital Zurich &amp; University of Zurich, Gloriastrasse 31, 8091 Zurich, SwitzerlandPCI Biotech AS, Ullernchausséen 64, 0379 Oslo, NorwayDepartment of Dermatology, University Hospital Zurich &amp; University of Zurich, Gloriastrasse 31, 8091 Zurich, SwitzerlandPhotochemical internalization (PCI) is a further development of photodynamic therapy (PDT). In this report, we describe PCI as a potential tool for cellular internalization of chemotherapeutic agents or antigens and systematically review the ongoing research. Eighteen published papers described the pre-clinical and clinical developments of PCI-mediated delivery of chemotherapeutic agents or antigens. The studies were screened against pre-defined eligibility criteria. Pre-clinical studies suggest that PCI can be effectively used to deliver chemotherapeutic agents to the cytosol of tumor cells and, thereby, improve treatment efficacy. One Phase-I clinical trial has been conducted, and it demonstrated that PCI-mediated bleomycin treatment was safe and identified tolerable doses of the photosensitizer disulfonated tetraphenyl chlorin (TPCS<sub>2a</sub>). Likewise, PCI was pre-clinically shown to mediate major histocompatibility complex (MHC) class I antigen presentation and generation of tumor-specific cytotoxic CD8+ T-lymphocytes (CTL) and cancer remission. A first clinical Phase I trial with the photosensitizer TPCS<sub>2a</sub> combined with human papilloma virus antigen (HPV) was recently completed and results are expected in 2020. Hence, photosensitizers and light can be used to mediate cytosolic delivery of endocytosed chemotherapeutics or antigens. While the therapeutic potential in cancer has been clearly demonstrated pre-clinically, further clinical trials are needed to reveal the true translational potential of PCI in humans.https://www.mdpi.com/2072-6694/12/1/165photochemical internalizationphotodynamic therapycytosolic deliverycancer vaccinationcancer immunotherapycross-presentationctl
spellingShingle Lara Šošić
Pål Kristian Selbo
Zuzanna K. Kotkowska
Thomas M. Kündig
Anders Høgset
Pål Johansen
Photochemical Internalization: Light Paves Way for New Cancer Chemotherapies and Vaccines
Cancers
photochemical internalization
photodynamic therapy
cytosolic delivery
cancer vaccination
cancer immunotherapy
cross-presentation
ctl
title Photochemical Internalization: Light Paves Way for New Cancer Chemotherapies and Vaccines
title_full Photochemical Internalization: Light Paves Way for New Cancer Chemotherapies and Vaccines
title_fullStr Photochemical Internalization: Light Paves Way for New Cancer Chemotherapies and Vaccines
title_full_unstemmed Photochemical Internalization: Light Paves Way for New Cancer Chemotherapies and Vaccines
title_short Photochemical Internalization: Light Paves Way for New Cancer Chemotherapies and Vaccines
title_sort photochemical internalization light paves way for new cancer chemotherapies and vaccines
topic photochemical internalization
photodynamic therapy
cytosolic delivery
cancer vaccination
cancer immunotherapy
cross-presentation
ctl
url https://www.mdpi.com/2072-6694/12/1/165
work_keys_str_mv AT larasosic photochemicalinternalizationlightpaveswayfornewcancerchemotherapiesandvaccines
AT palkristianselbo photochemicalinternalizationlightpaveswayfornewcancerchemotherapiesandvaccines
AT zuzannakkotkowska photochemicalinternalizationlightpaveswayfornewcancerchemotherapiesandvaccines
AT thomasmkundig photochemicalinternalizationlightpaveswayfornewcancerchemotherapiesandvaccines
AT andershøgset photochemicalinternalizationlightpaveswayfornewcancerchemotherapiesandvaccines
AT paljohansen photochemicalinternalizationlightpaveswayfornewcancerchemotherapiesandvaccines